Individual
DR. KIMBERLY LAWRENCE KOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2945 ROUTE 5, EAST THETFORD, VT 05043
(802) 356-3506
Mailing address
PO BOX 351, THETFORD CENTER, VT 05075-0351
(802) 356-3506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1272
NH
103TC0700X
Clinical Psychologist
Primary
844
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010974
—
VT
Enumeration date
10/20/2006
Last updated
11/23/2015
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